Individual provider Active NPI

Daniel Kim

  • Internal Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1174801344
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A122585 Issued in CA
Practice address
10541 Calle Lee Ste 117
Los Alamitos, CA 90720-6781
Phone
(714) 794-2777
Fax
(714) 276-2353
NPI assigned
Jul 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A122585 CA Primary

Addresses

Primary practice location

10541 Calle Lee Ste 117
Los Alamitos, CA 90720-6781

Mailing address

10541 Calle Lee Ste 117
Los Alamitos, CA 90720-6781
Phone (714) 794-2777

Other practice location 1

11691 Argyle Dr
Los Alamitos, CA 90720-4035
Phone (714) 794-2776

Other practice location 2

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8888

Other identifiers 1

IdentifierTypeStateIssuer
A122585OtherCAMEDICAL BOARD OF CALIFORNIA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409001015 CA Practitioner - HospitalistPractitioner - Internal Medicine 6305164039 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of California, San Diego School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of California-IrvineGroup PAC ID 3971609611, 116 clinicians
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7890

17822 Beach Blvd
Suite 373
Huntington Beach, CA 92647-7115
Phone (714) 848-3333

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A122585CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners a Medical Group Inc CurrentSince Apr 24, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 17, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 17, 2015 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Apr 24, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

411 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

17822 Beach Blvd
Ste 373
Huntington Beach, CA 92647
Phone (714) 848-3333

3851 Katella Ave
Ste 205
Los Alamitos, CA 90720
Phone (562) 430-4449

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1174801344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10541 CALLE LEE STE 117",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206781",
            "telephone_number": "714-794-2777",
            "fax_number": "714-276-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10541 CALLE LEE STE 117",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206781",
            "telephone_number": "714-794-2777",
            "fax_number": "714-276-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11691 Argyle Dr",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907204035",
            "country_code": "US",
            "telephone_number": "714-794-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A122585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A122585",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.